20 Best hiring immediately jobs in Raleigh, NC (Hiring Now!)

Authorization and Appeals Specialist (Raleigh - Remote/Hybrid)
The Palomino Group —Raleigh, NC
Document all interactions and calls within a case management database. This position requires demonstration of past work success within this or similar…
Estimated: From $21 an hour
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1h
Surgical Technologist - Raleigh
Raleigh Orthopaedic Clinic —Raleigh, NC
This position provides support with room turnover and assist in preference card updates and case picking. The surgical technologist, under the guidance of the…
Estimated: $23 - $33 an hour
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Inside Sales Associate
Top Producing Real Estate Team —Raleigh, NC
Partner with field sales to execute meetings. One of the top real estate groups in NC is looking for an energetic, out-going and gregarious inside Sales Agent.
Estimated: $27,427 - $82,951 a year
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1h
Chiropractor
Team Chiropractic & Sports Medicine, PA —Raleigh, NC
We are a subluxation based, corrective care practice. High volume practice seeks highly motivated associate. Great opportunity for new or experienced DC to join…
Estimated: $60,000 - $100,000 a year
Quick Apply
Diesel Mechanic
Barbour's Towing & Truck Repair —Raleigh, NC
Use hand tools and specialized equipment to solder, fabricate, and maintain diesel engine components. Diagnose and troubleshoot mechanical issues with diesel…
Estimated: $18 - $30 an hour
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Order Processor
Murphy Cable TV —Raleigh, NC
Evaluate all available products and prepare orders for delivery in a timely manner, monitoring compliance with all technical requirements.
Estimated: $21 - $23 an hour
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7d
Radiologic/X-Ray Technologist - Orthopaedic Practice
Raleigh Orthopaedic Clinic —Raleigh, NC
Must have graduated from accredited two year Radiography Program. Must be ARRT registered or registry eligible. Pay: $22.00 - $30.00 per hour.
Estimated: $22 - $30 an hour
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Bus Driver-CDL Licensed
Appletree Day Care #3 —Raleigh, NC
Class B CDL driver's license. We are in need of CDL licensed drivers to transport students to and from school and scheduled field trips.
Estimated: $14.75 - $15.50 an hour
Quick Apply
8d
Real Estate Agent - Zillow Leads Division
Navigate Realty —Raleigh, NC
*Our agents are closing 2-6 deals per month* from our leads program. We provide all of this with *NO monthly or miscellaneous fees.*.
Estimated: $75,000 - $275,000 a year
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8d
Leasing Consultant
Stoltz Management of Delaware —Cary, NC
Answering incoming calls, scheduling sales appointments, greeting future residents, presenting the available rental units through person tours, and following up…
Estimated: $20 - $22 an hour
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5h
NOW HIRING DELIVERY DRIVERS - NO EXPERIENCE REQ'D
Amazon DSP —Garner, NC
Must hold a non-provisional, unrestricted driver’s license. Support the team in daily work requirements including participation in rescue calls when other team…
Estimated: $18.50 - $20.00 an hour
3d
Diesel Mechanic for Ready Mix Trucks
Thomas Concrete of GA —Morrisville, NC
Following CDC guidelines and any state or local mandates. Installs new ignition systems, aligns front wheels, changes or recharges batteries, and replaces…
Estimated: $23 - $31 an hour
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DAYTIME Restaurant Manager & Kitchen Manager - Wake Forest/Raleigh NC
First Watch Vim Holdings Inc —Wake Forest, NC
Managers are responsible for the day to day operations, coaching & developing team members, on hands while working side by side with team members during the…
Estimated: $46,000 - $52,000 a year
Quick Apply
Equipment Operator- 2nd shift
Owens and Minor —Raleigh, NC
Assuring that shipping/receiving counts match picking/purchase order documents and assisting in resolving any discrepancies.
Estimated: $19.44 an hour
Quick Apply
1d
Front Desk Receptionist
LA Fitness —Raleigh, NC
Answer incoming calls and direct calls to proper departments. Greet and check in all members and guests. Take payments for account balances, guest fees and…
$10 - $11 an hour
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1d
Delivery Driver 20+/hr avg S Saunders URGENTLY HIRING**EARN HOLIDAY CASH**
Domino's —Raleigh, NC
Drivers also paid cash for every mile driven & this amount goes up with fuel prices. When people ask how is it possible that our Domino's delivery drivers can…
Estimated: $15 - $20 an hour
Quick Apply
Associate Chiropractic Doctor
Atlas Chiropractic of Raleigh —Raleigh, NC
Must have active NC Chiropractic license. You will have the opportunity to grow your own successful practice _within_ my established practice.
Estimated: From $75,000 a year
Quick Apply
Dishwasher/Stewards - Full Time
Carolina Country Club Company —Raleigh, NC
Private Property – Please no telephone calls or walk ins! We have state of the art equipment in our several Kitchens & Pizza Oven Truck.
Estimated: $18 - $22 an hour
Quick Apply
Retail Merchandise Stocker
O'Reilly Auto Parts —Raleigh, NC
O'Reilly takes pride in our company culture, so team members should also hold our culture values as true to their own. Make all out-front price changes.
Estimated: $26.5K - $33.6K a year
Quick Apply
1d
Bridge Inspection Team Leader
Volkert Inc —Raleigh, NC
EIT or P.E. license preferred but not required. Leading a team of inspectors in the field during inspections. Preference will be given to applicants with bridge…
Estimated: $69.9K - $88.5K a year
Quick Apply

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Authorization and Appeals Specialist (Raleigh - Remote/Hybrid)

The Palomino Group Raleigh, NC

Quick Apply

Job Details

Full-time From $21 an hour 1 hour ago

Benefits

Health savings account
Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Employee assistance program
Vision insurance
Life insurance

Qualifications

Microsoft Word
Microsoft Excel
Microsoft Outlook
Medicare
Insurance verification
Customer service
HIPAA
Microsoft Office
Outpatient
Administrative experience
Organizational skills
Computer skills
Associate's degree
Medical terminology
Communication skills

Full Job Description

Medical Authorization and Appeals Specialist (Hybrid/Remote)

North Raleigh, NC / Reimbursement Support Services Provider

The Palomino Group is a leading, full-service outsourced reimbursement support services provider for leading biopharmaceutical, medical device, and healthcare technology companies. Our company is rapidly expanding, and we are seeking qualified candidates to join our dynamic and fast-growing organization.

Position Overview: (Full Time / 9:00 AM – 5:00 PM)

This position requires extensive experience in conducting Authorizations and Appeals for medical device procedures. The Authorization and Appeals Specialist will be responsible for obtaining authorizations for medical device procedures and supporting appeals for denied claims or authorizations.

The position will work as part of a team to obtain approval for patient procedures, or to initiate appeals for denied claims or authorizations, and will interact with health insurance plans and healthcare providers in the physician practice and hospital settings. This position requires outstanding knowledge of the reimbursement process associated with medical device products reimbursed under a medical benefit. This position requires exceptional written and verbal communication skills with healthcare providers and payers in addition to excellent customer service communication skills.

Job/Duties/Responsibilities:

The Authorization and Appeals Specialist is responsible for coordinating the reimbursement process for Medical Device Procedures and will require frequent interaction with insurance plans and healthcare providers. This position requires demonstration of past work success within this or similar environments. Job duties may include managing all aspects of the reimbursement process, including benefit and coverage verification, prior authorization, and appeal processes.

The Authorization and Appeals Specialist must be able to:

· Understand insurance company requirements and processes pertaining to gaining authorization of treatment

· Verify medical insurance benefits, including the ability to obtain and process payer forms

· Coordinate prior authorization for medical device procedures with payer authorization departments

· Support the appeal process for denied authorizations or claims

· Effectively communicate with healthcare providers on case status

· Document all interactions and calls within a case management database

· Maintain HIPAA compliance at all times

· Work independently and within a team setting

· Provide services in a high-volume work environment

Required Skill Set:

The Authorization and Appeals Specialist must possess excellent written and verbal communication skills to be able to communicate effectively with clinicians, healthcare provider teams, payers, and clients. The Specialist must possess highly efficient technology skills related to working within a computer networking system.

Required skills include:

· Prior success as a Medical Reimbursement Specialist, especially related to Prior Authorization and Appeal experience

· Prior experience working directly with healthcare provider teams within a physician practice or reimbursement support call center setting

· High level of Professionalism

· Strong critical thinking and decision-making skills

· Superior written communication skills

· High level computer skills related to working within an integrated network system

· Excellent administrative skills

· Ability to adapt to different situations, on the fly

· Strong organizational skills with attention to detail and accuracy

· Self-motivation with excellent follow-through skills

· Ability to work independently with minimal-to-moderate supervision

· Adaptive and flexible to new ideas and change

· Proven/demonstrated knowledge of medical reimbursement methodologies

· Understanding of HIPAA and legal requirements associated with protected health information

· Fluency in medical terminology

Minimum Qualifications/Education/Experience:

· 2+ years of claim and authorization denial appeal experience with commercial plans

· 2+ years of experience in conducting authorizations for medical device procedures

· 2+ years of experience conducting prior authorization and preservice authorizations for medical device products

· Demonstrated familiarity with all payer types (Medicare, Medicaid, Commercial, etc.)

· Reimbursement experience working with medical device procedures used in the outpatient setting

· Associate degree or equivalent work experience

· Technical Expertise: Extensive computer related experience and working knowledge of Microsoft Office (Word, Excel, Outlook)

Job Type: Full-time

Salary: From $21.00 per hour

Benefits:

401(k)
Dental insurance
Disability insurance
Employee assistance program
Health insurance
Health savings account
Life insurance
Paid time-off
Vision insurance

Schedule:

8-hour shift
Day shift
Monday to Friday

Application Question(s):

Are you able to commute to and work at our north Raleigh facility?
Are you willing to undergo a background check if selected for hire, in accordance with local laws and regulations?

Experience:

Appeals: 2 years (Required)
Prior Authorization: 2 years (Required)

Job Type: Full-time

Pay: From $21.00 per hour

Expected hours: 40 per week

Benefits:

401(k)
Dental insurance
Disability insurance
Employee assistance program
Health insurance
Health savings account
Life insurance
Paid time off
Vision insurance

Schedule:

8 hour shift
Day shift
Monday to Friday

Application Question(s):

Are you willing to undergo a background check if selected for hire, in accordance with local laws and regulations?
Are you able to commute to and work at our north Raleigh facility when required?

Experience:

Prior Authorization: 2 years (Required)
Appeals: 2 years (Required)

Work Location: Hybrid remote in Raleigh, NC 27615

Quick Apply

hiring immediately jobs in Raleigh, NC

Authorization and Appeals Specialist (Raleigh - Remote/Hybrid)

Surgical Technologist - Raleigh

Inside Sales Associate

Chiropractor

Diesel Mechanic

Order Processor

Radiologic/X-Ray Technologist - Orthopaedic Practice

Bus Driver-CDL Licensed

Real Estate Agent - Zillow Leads Division

Leasing Consultant

NOW HIRING DELIVERY DRIVERS - NO EXPERIENCE REQ'D

Diesel Mechanic for Ready Mix Trucks

DAYTIME Restaurant Manager & Kitchen Manager - Wake Forest/Raleigh NC

Equipment Operator- 2nd shift

Front Desk Receptionist

Delivery Driver 20+/hr avg S Saunders URGENTLY HIRINGEARN HOLIDAY CASH

Associate Chiropractic Doctor

Dishwasher/Stewards - Full Time

Retail Merchandise Stocker

Bridge Inspection Team Leader

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